Fu, Xinyi
(School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine)
,
Lee, Mira
(School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine)
,
Guo, Changqing
(School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine)
Background: Compared with conventional closed therapy, acupotomy has the advantages of lower cost, convenient application, and better single and long-term effects. The aim of this study was to explore the clinical effect of acupotomy in the treatment of Tarsal Tunnel syndrome. Methods: There were 80...
Background: Compared with conventional closed therapy, acupotomy has the advantages of lower cost, convenient application, and better single and long-term effects. The aim of this study was to explore the clinical effect of acupotomy in the treatment of Tarsal Tunnel syndrome. Methods: There were 80 patients enrolled into the study who were randomly assigned to either the acupotomy or closed therapy group, with 40 patients in each group. The acupotomy group was treated once every 6 days, on 3 occasions for the duration of treatment, and the closed therapy group was treated twice a week, for 3 weeks as the course of treatment. The effects of treatment were analyzed and evaluated according to the standard of curative effect. Results: The "cure rate" of the number of patients in the acupotomy group whose symptoms had completely disappeared (13 patient out of 39) was higher than the closed therapy group (1 patient out of 39), and this difference was significant (p < 0.01). The number of patients in the acupotomy group who did not benefit from the therapy (5 patients) was significantly lower than the closed therapy group (15 patients; p < 0.05). The total number of patients in the acupotomy group who benefitted from the therapy (34 patients) resulted in an effective rate of 87.18%, which was higher than the closed therapy group (24 patients; 61.53%). The difference was statistically significant (p < 0.05). Conclusion: Acupotomy is effective in the treatment of Tarsal Tunnel syndrome, was superior to traditional closed therapy, and is worthy of clinical application.
Background: Compared with conventional closed therapy, acupotomy has the advantages of lower cost, convenient application, and better single and long-term effects. The aim of this study was to explore the clinical effect of acupotomy in the treatment of Tarsal Tunnel syndrome. Methods: There were 80 patients enrolled into the study who were randomly assigned to either the acupotomy or closed therapy group, with 40 patients in each group. The acupotomy group was treated once every 6 days, on 3 occasions for the duration of treatment, and the closed therapy group was treated twice a week, for 3 weeks as the course of treatment. The effects of treatment were analyzed and evaluated according to the standard of curative effect. Results: The "cure rate" of the number of patients in the acupotomy group whose symptoms had completely disappeared (13 patient out of 39) was higher than the closed therapy group (1 patient out of 39), and this difference was significant (p < 0.01). The number of patients in the acupotomy group who did not benefit from the therapy (5 patients) was significantly lower than the closed therapy group (15 patients; p < 0.05). The total number of patients in the acupotomy group who benefitted from the therapy (34 patients) resulted in an effective rate of 87.18%, which was higher than the closed therapy group (24 patients; 61.53%). The difference was statistically significant (p < 0.05). Conclusion: Acupotomy is effective in the treatment of Tarsal Tunnel syndrome, was superior to traditional closed therapy, and is worthy of clinical application.
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제안 방법
If no blood was drawn back, the closed treatment was performed. Treatment was performed twice a week, for 3 weeks to complete the course of treatment.
대상 데이터
2. Acupotomy needle (Type1No 4.1.0*50mm).
Among the 80 patients, there were 41 cases of right foot Tarsal Tunnel syndrome, 38 cases of left foot and 1 case of both feet.
There was 1 patient in the acupotomy group who interrupted the therapy due to fear of the acupotomy treatment, and therefore 39 cases qualified for analysis. One patient in the closed therapy group was excluded because of long-term travel during the treatment, and therefore 39 cases qualified for analysis.
The 80 cases in this study included patients who had visited the Department of Orthopedics, General Hospital of Beijing military region, and the outpatients for the Department of Acupuncture and Moxibustion, Department of Traditional Chinese Medicine, Beijing University of Traditional Chinese Medicine, from December 2015 to December 2017.
There was 1 patient in the acupotomy group who interrupted the therapy due to fear of the acupotomy treatment, and therefore 39 cases qualified for analysis. One patient in the closed therapy group was excluded because of long-term travel during the treatment, and therefore 39 cases qualified for analysis.
Among the 80 patients, there were 41 cases of right foot Tarsal Tunnel syndrome, 38 cases of left foot and 1 case of both feet. There were 40 males and 40 females. In the acupotomy group, there were 22 males and 18 female patients, with an average age of 46.
데이터처리
, Chicago, IL, USA). Comparisons between the measurement data groups before and after treatment were performed using the paired t test. The total “effective rate” of data was tested using chi-square test, and the “curative effect” between the groups was tested using the pairwise rank sum test.
The total “effective rate” of data was tested using chi-square test, and the “curative effect” between the groups was tested using the pairwise rank sum test.
성능/효과
(2) Physical examination showed swelling and tenderness behind the medial malleolus using the positive nerve percussion test (Tinel Sign), muscle strength was generally not affected, and a decreased sensation was observed in the calcaneal branch of the posterior tibial nerve and its main branches, medial plantar nerve, and lateral plantar nerve.
(3) Electromyography examination of nerve conduction velocity and sensory test of the affected foot evoked potential latency which prolonged or disappeared, and denervated changes such as spontaneous fibrillation potential appeared in the abductor pollicis brevis muscle.
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